Provider Demographics
NPI:1790428688
Name:KANHAI, MEGAN NISA (PA-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:NISA
Last Name:KANHAI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 HAVERFORD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5200
Mailing Address - Country:US
Mailing Address - Phone:813-634-9284
Mailing Address - Fax:
Practice Address - Street 1:1901 HAVERFORD AVE STE 101
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5200
Practice Address - Country:US
Practice Address - Phone:813-634-9284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical